Pain isn't just physical—it's a complex interplay of biology, emotions, and social factors. Are you aware of how this affects your pain?

In our latest podcast, Dr. Rachel Zoffness, PhD, breaks down the biopsychosocial model of pain. She explains that pain is not just about anatomy or injuries; it's a mix of biological, psychological, and sociological factors.

Understanding this can empower you to take control of your pain management. It's not just about pills or procedures; it's about recognizing the emotional and social components that play a role in your experience of pain.

Pain is a ubiquitous human problem. Everyone deserves to understand what's happening in their body and how to address it holistically.

Check out the full episode for more insights!

SLAP tears refer to injuries of the superior labrum of the shoulder, where the long head of the biceps tendon attaches to the glenoid. These tears are commonly identified on imaging, particularly in overhead athletes and aging populations, but their presence does not always explain pain or dysfunction. The shoulder relies heavily on soft tissue structures for stability, and the biceps–labral complex is exposed to significant load during overhead and deceleration activities. Importantly, labral changes are frequently seen in asymptomatic individuals, highlighting that structural findings alone do not equate to symptoms.

Clinically, SLAP tears may present with deep shoulder pain, discomfort during overhead activity, clicking sensations, or fatigue with repeated use, though symptoms often overlap with other shoulder conditions. Diagnosis is challenging, as no single clinical test is highly accurate and imaging frequently reveals incidental findings. Meaningful diagnosis requires correlating symptoms, functional limitations, and activity demands rather than relying on imaging alone.

From a treatment standpoint, conservative management is the first-line approach for most individuals. Rehabilitation focuses on restoring shoulder strength, scapular control, and load tolerance rather than "fixing" the labrum itself. While surgery may be appropriate in select cases, many people experience meaningful improvement with well-structured physical therapy. This episode explores how education, progressive loading, and evidence-based rehab strategies can help individuals return to function, even in the presence of a diagnosed SLAP tear.

Link for my book: https://amzn.to/3Ld7ssd

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YouTube SLAP rehab video: https://youtu.be/FwiDJ6hoaYo?si=924NiLBuqPxBri0g

Pain between the shoulder blades is often blamed on tight muscles, poor posture, or a stubborn "knot" that just won't go away. But in many cases, that pain isn't coming from the shoulder blade region at all.

In this episode of Rehab Science, Dr. Tom Walters explains how irritation of the cervical spine and lower cervical nerve roots can refer pain into the interscapular region. You'll learn why local treatments often provide only temporary relief, how neural anatomy explains these referral patterns, and how rehabilitation interventions can address the true driver of symptoms.

This episode is especially relevant for anyone who spends long hours at a computer, experiences upper back or shoulder blade pain that changes with neck movement, or wants a clearer understanding of how referred pain works.

Here is a YouTube video with a few exercises that can help with this type of pain.

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If you found this episode helpful, consider subscribing and sharing it with someone who deals with ongoing neck or shoulder blade pain.